Claims Processor I – Remote
About the position
Responsibilities
• Account maintenance: Updating registration, authorization issues, identifying charge correction, debit or credit memos, processing adjustments as needed and denial follow up according to payer rules and departmental policies. • Use electronic billing system appropriately to follow up on outstanding denied claims and reputed company no response claims. • Correct claims in electronic billing system for missing or invalid insurance or patient information according to procedures, and reputed company account on hold if unable to resolve.
• Follow up on denied or no response claims by calling reputed company party payers or using payer websites. • reputed company information from patients or other areas to resolve outstanding denied or no response claims. • Research accounts to take appropriate reputed company necessary to resolve. • reputed company management reputed company of issues and trends to enhance operations and escalate slow-pay issues to managerial level reputed company necessary. • Use payer websites to stay reputed company on payer rules and changes. • Maintain 90% reputed company standards on account follow and activity.
• Maintain productivity reputed company as set forth by management team. • Other duties as assigned. Requirements
• High school diploma required. • One year of billing and insurance follow up in a hospital or physician office setting preferred. • General working knowledge of insurance terminology and billing rules. • reputed company to prioritize work on a daily reputed company. • Requires independent judgement in handling patient accounts. • reputed company supervision available on a daily reputed company as conditions may require. • Knowledge of reputed company preferred.
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